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in Fresno, CA

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Hours Full-time, Part-time
Location Fresno, CA
Fresno, California

About this job

Medical Billing

Patient Check In:
  • Responsible for all aspects of patient appointment scheduling, insurance verification, creation of new patient charts and maintenance of patient records in accordance to Hanger compliance policies, scanning and filing patient documents, ensuring complete and accurate information, managing incoming phone calls, timely completion of all assigned tasks.
Patient Check Out:
  • Provides administrative support for all aspects of closing a patient visit including obtaining insurance authorization, providing financial counseling for patients, posting over the counter (OTC) payments, timely completion of all assigned tasks, mail forwarding tasks and daily document research on an electronic health/medical record system, coordinating with clinical staff in managing in progress services, scheduling return appointments, reviewing and managing incoming documents and tasking to appropriate parties to outstanding requests for information.
Billing:
  • Reviews charge information to ensure accuracy per payer requirements; makes corrections as needed.
  • Manages services in progress and updates to accounts receivable (AR) once items are delivered, maintaining AR levels over 120 days at or below target level.
  • Responsible for reviewing claim edits and resolving them, working claim rejections and denials, performing voids and corrections as necessary.
  • Responsible for submitting clean and accurate claims; accurate completion of patient chart required elements
  • Timely completion of all assigned tasks.
  • Generating reports to ensure that claims are processed within timely filing limits. Will also run claim edit metrics to determine the type of edit issues that are recurring to aid in future training.
Collections:
  • Manages the accounts receivable and collections process; timely completion of all assigned tasks.
  • Assumes responsibility for maintaining company mandated collection standards.
  • Prepares outstanding accounts reports and gathers credit and/or reference information.
  • Manages both the internal bad debt process and the external collection agency’s process for Private Pay accounts.
  • Maintains database by entering, updating, and retrieving data, as well as formatting and generating reports.
  • Resolves outstanding invoice problems from past due accounts. Responds to inquiries from customers or external collection resources.
  • May place calls or send messages to those with unresolved issues.
Inventory:
  • Assist with inventory as directed by Management and/or Inventory Coordinator as detailed below:
  • Assist in reconciling items currently in use by clinicians to items in the inventory system
  • Assist in counting inventory
  • Assist in data entry of inventory counts
Minimum Qualification:
  • High school diploma or GED required.
  • 2 years of office administrative experience
  • A valid driver’s license and driving record within the standards outlined within Hanger’s Motor Vehicle Safety Policy and Procedures.
Preferred Qualifications and Experiences:
  • At least 1 year of experience with electronic health/medical record systems (preferably NextGen and/or OnBase).
  • Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols.
  • Ability to type 40 correct words per minute.
  • At least 2 years of computer and office equipment experience including MS Office products (Word, Excel), e-mail and automated billing systems, facsimile machines, calculator, postage machine, copiers, etc.
  • Basic administrative accounting skills.
Physical Requirements:
  • While performing the duties of this job, the employee will regularly be required to sit, walk and stand; occasionally bend or twist; regularly talk and hear, both in person and by telephone; use hands to operate standard office equipment; reach with hands and arms (to include reaching overhead); and lift up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
Additional Success Factors
  • Results-driven achiever with exemplary planning and organizational skills, along with a high degree of detail orientation.
  • Resourceful team player who excels at building trusting relationships with patients, referral sources, and colleagues.
  • Personable office professional whose strengths include cultural sensitivity and an ability to build rapport with a diverse population in multicultural settings.
  • Flexible team player who thrives in environments requiring ability to effectively prioritize and juggle multiple concurrent projects in a fast paced environment.
  • Strong interpersonal, oral (including telephone) and written communication skills.
  • Basic administrative accounting skills.
  • Demonstrated ability to provide a high level of customer service to patients, fellow employees and referral sources.
  • Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
  • Keep the patient at the center of everything that you do, building lifelong trust.
  • Foster open collaboration and constructive dialogue with everyone around you.
  • Continuously innovate new solutions, influencing and responding to change.
  • Focus on superior outcomes, and calibrate work processes for outstanding results.
We look forward to speaking with you if you are qualified and interested!